Exam 42: Lower Gastrointestinal Problems

Which action will the nurse include in the plan of care for a patient who is being admitted with Clostridium difficile?

A 19-yr-old woman is brought to the emergency department with a knife handle protruding from her abdomen. During the initial assessment of the patient,the nurse should

A new 19-yr-old male patient has familial adenomatous polyposis (FAP). Which action will the nurse in the gastrointestinal clinic include in the plan of care?

After change-of-shift report,which patient should the nurse assess first?

The nurse is providing preoperative teaching for a patient scheduled for an abdominal-perineal resection. Which information will the nurse include?

A patient is transferred from the recovery room to a surgical unit after a transverse colostomy. The nurse observes the stoma to be deep pink with edema and a small amount of sanguineous drainage. The nurse should

A patient with Crohn's disease who is taking infliximab (Remicade)calls the nurse in the outpatient clinic about new symptoms. Which symptom is most important to communicate to the health care provider?

A 40-yr-old male patient has had a herniorrhaphy to repair an incarcerated inguinal hernia. Which patient teaching will the nurse provide before discharge?

A patient preparing to undergo a colon resection for cancer of the colon asks about the elevated carcinoembryonic antigen (CEA)test result. The nurse explains that the test is used to

A young woman who has Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI)with tan,fecal-smelling urine. What information will the nurse add to a general teaching plan about UTIs in order to individualize the teaching for this patient?

A 22-yr-old female patient with an exacerbation of ulcerative colitis is having 15 to 20 stools daily and has excoriated perianal skin. Which patient behavior indicates that teaching regarding maintenance of skin integrity has been effective?

Which nursing action will the nurse include in the plan of care for a 35-yr-old male patient admitted with an exacerbation of inflammatory bowel disease (IBD)?

A patient who has chronic constipation asks the nurse about the use of psyllium (Metamucil). Which information will the nurse include in the response?

Which patient statement indicates that the nurse's teaching about sulfasalazine (Azulfidine)for ulcerative colitis has been effective?

A 26-yr-old woman is being evaluated for vomiting and abdominal pain. Which question from the nurse will be most useful in determining the cause of the patient's symptoms?

After a patient has had a hemorrhoidectomy at an outpatient surgical center,which instructions will the nurse include in discharge teaching?

A 33-yr-old male patient with a gunshot wound to the abdomen undergoes surgery,and a colostomy is formed as shown in the accompanying figure. Which information will be included in patient teaching?

Which patient should the nurse assess first after receiving change-of-shift report?

A patient in the emergency department has just been diagnosed with peritonitis caused by a ruptured diverticulum. Which prescribed intervention will the nurse implement first?

Which activity in the care of a patient with a new colostomy could the nurse delegate to unlicensed assistive personnel (UAP)?